MEDICARE: KAREN COBB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1851784151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN COBB

Provider Business Mailing Address
First Line	:	4209 THOMAS WOOD LN
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33880-1157
Country	:	US
Telephone Number	:	321-537-6430
Fax Number	:

Provider Business Practice Location Address
First Line	:	4209 THOMAS WOOD LN
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33880-1157
Country	:	US
Telephone Number	:	321-537-6430
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2015
Last Update Date	:	03/10/2015

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Directions to “ KAREN COBB ” Practice Location

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